Role of the Measurement of Cerebral Blood Flow in the Management of Patients with Traumatic Subdural Hygroma.
- Author:
Chun Kun PARK
1
;
Il Woo LEE
;
Yong Kil HONG
;
Joon Ki KANG
;
Chang Rak CHOI
Author Information
1. Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Traumatic subdural hygroma;
Cerebral blood flow;
SPECT;
Hypoperfusion
- MeSH:
Brain Injuries;
Follow-Up Studies;
Humans;
Prognosis;
Subdural Effusion*;
Tomography, Emission-Computed, Single-Photon;
Tomography, X-Ray Computed
- From:Journal of Korean Neurosurgical Society
1992;21(2):146-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The finding of a traumatic subdural hygroma(SDHy) raises the question of whether to remove it surgically or not, because the management is still controversial. There has been noting but CT scan and clinical findings for neurosurgeons to decide surgical management, and most of neurosurgeons are still dependent upon their own experiences to decide the way of management for SDHy. In the present study, the authors investigated the changes of cerebral blood flow in 10 patients with SDHy by SPECT, and their relationships with the clinical findings and the results of 6-months postinjury. This study indicates that hypoperfusion of the frontal cortex, examined within a week postinjury, is a good indication for surgical management, and improvement of hypoperfusion at the follow-up SPECT, 1 month later, can predict better prognosis particularly in the cases of young age without associated brain injuries.
